Organization Active NPI

Quality Care Pharmacy, PLLC

  • Community/Retail Pharmacy
  • Selmer, TN
National Provider Identifier
1497869408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3822 Issued in TN
Legal business name
QUALITY CARE PHARMACY, PLLC
Practice address
144 Houston Ave
Selmer, TN 38375-2127
Phone
(731) 645-7878
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Forsyth, D.PH
Title
Pharmacist/Manager
Phone
(731) 645-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3822 TN Primary

Addresses

Primary practice location

144 Houston Ave
Selmer, TN 38375-2127

Mailing address

144 Houston Ave
Selmer, TN 38375-2127
Phone (731) 645-7878

Other identifiers 1

IdentifierTypeStateIssuer
1454669MedicaidTN

National Provider Directory

National Provider Directory

Locations

144 Houston Ave
Selmer, TN 38375
Phone (731) 645-7878

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497869408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HOUSTON AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752127",
            "telephone_number": "731-645-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 HOUSTON AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752127",
            "telephone_number": "731-645-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "731-645-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454669",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.